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New Jersey rates for HCPCS 26502

Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.52 / $6,396.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.83 / $721.00 / $1,272.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.19 / $1,028.19 / $2,112.33
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.77 / $1,206.51 / $1,211.36
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,365.87 / $7,138.04 / $7,888.29
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.04 / $892.13 / $1,834.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,378.00 / $8,305.00 / $14,121.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.66 / $947.74 / $2,284.00